person
Mr. Carl Edward Smith JR., CRRA
Substance Use Disorder Rehabilitation Clinic/Center in Daytona Beach, Florida
NPI 1982376521

Carl Edward Smith JR. is a Substance Use Disorder Rehabilitation Clinic/Center based in Daytona Beach, FL and is specialized in Rehabilitation, Substance Use Disorder. Carl Edward Smith JR. practices in Daytona Beach, FL and has the professional credentials of CRRA. The NPI Number for Carl Edward Smith JR. is 1982376521 and holds a License No. IND-877173 (Florida).

The current practice location address for Carl Edward Smith JR. is 527 N Ridgewood Ave, Daytona Beach, FL and can be reached out via phone at 386-319-6160.

Location: 527 N Ridgewood Ave, Daytona Beach, FL, 32114-2107
person
Provider Profile Details
NPI Number
1982376521
Provider Name
Carl Edward Smith JR.
Credential
CRRA
Provider Entity Type
Individual
Gender
Male
Address
527 N Ridgewood Ave, Daytona Beach, FL, 32114-2107
Phone Number
386-319-6160
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
527 N Ridgewood Ave
City
State
Zip
32114-2107
Phone Number
386-319-6160
Fax Number
person
Provider Business Mailing Address Details
Address
527 N Ridgewood Ave
City
State
Zip
32114-2107
Phone Number
386-319-6160
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
IND-877173 (Florida)
Definition
Definition to come...
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